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Boulevard MSN 2370 Kerner Bourd ORIGINAL <br />San Rafael, B leva <br />4901 <br />www.mhn.com <br />A Health Net Gompany"' <br />DOCKTOWN ASSISTANCE PROGRAM SERVICES AGREEMENT <br />BETWEEN <br />MANAGED HEALTH NETWORK <br />AND <br />CITY OF REDWOOD CITY <br />GROUP #2751 <br />This Assistance Program Services Agreement ("Agreement"), is to be effective the 1st day of May, 2017, by and <br />between MANAGED HEALTH NETWORK ("MHN"), a California corporation, and CITY OF REDWOOD <br />CITY ("Client"), a municipal corporation, with reference to the following facts: <br />RECITALS <br />WHEREAS, Client wishes to establish an Assistance Program as defined herein, for the benefit of <br />Docktown tenants and their Dependents. <br />WHEREAS, MHN is licensed as a specialized health care service plan under the Knox -Keene Health Care <br />Service Plan Act of 1975, as amended. <br />WHEREAS, MHN has experience in providing Assistance Program services and has established a network <br />of professional providers to render required Assistance Program services. <br />WHEREAS, Client wishes to engage MHN to provide such services and MHN wishes to provide the same <br />on the terms and conditions set forth herein; <br />NOW, THEREFORE, in consideration of the mutual covenants and agreements contained herein, the <br />parties agree as follows: <br />I. DEFINITIONS <br />1.1 "Combined Evidence of Coverage and Disclosure Form (Evidence of Coverage)" - a document as <br />issued by MHN to a Covered Person that describes the specific Covered Services available to that Covered Person <br />under a specific Docktown Assistance Program Services Agreement. <br />1.2 "Covered Person or Member" - any individual who, pursuant to this Docktown Assistance Program <br />Services Agreement, is eligible for AP benefits as a Subscriber or Dependent. <br />1.3 "Dependent" - any person who is permanently residing in the Subscriber's household and is qualified as <br />their dependent for federal income tax purposes. <br />1.4 "Assistance Program" ("AP") - the NIHN program for the Assessment and Referral of Covered Persons as <br />described in this Agreement, including short-term telephonic counseling as authorized by MHN. <br />1.5 "Initial Term" - the initial period of the Term of this Agreement as set forth at Paragraph 5. 1, below. <br />1.6 "Intake Line" - a telephone number available twenty four (24) hours each day, seven (7) days each week <br />to provide access to MHN's AP services pursuant to this Agreement. <br />1.7 "Monthly Fee" - the amount to be paid to MHN by Client as set forth at paragraph 4.1. <br />1.8 "Participating Provider" - a professional contracting with MIHN or its affiliates who furnishes Assistance <br />Program services to Covered Persons. <br />Page 1 of 7 <br />REV: OS -16-17 EI <br />ATTY/AGR/2017.112/MANAGED HEALTH NETWORK <br />